Four Year old Dance Registration Form
Welcome to Michele's Dance Studio! This form is for children who are four years old in September 2020. Please fill out one registration form for each child. Make sure to choose correctly 'in person' or 'Zoom' according to your preference. Tuition amount listed is "1st Tuition", which covers the first third of the year.
After submitting the form you will be prompted to visit PayPal.me/MichelesDance to make payment. Registration is not complete until payment is made. The $30 registration fee is required only once per family.
Thank you, looking forward to a great year of DANCE!
Date of Birth
Name on credit card for payment.
Please list any medical conditions or pertinent information
Make sure to indicate if you are selecting The 'in person' or 'live stream on Zoom' option for each class.
Monday 3:45-4:25 Hip Hop (In Person) $216+$30 registration fee
Monday 3:45-4:25 Hip Hop (Zoom) $162+$30 registration fee
Monday 4:25-5:55 Tap (In Person) $130 + $30 registration fee
Monday 4:25-4:55 Tap (Zoom) $98 + $30 registration fee
Wednesday 3pm-3:40 Ballet/Hip Hop (In Person) $216 with three year olds+$30 registration fee
Wednesday 3pm-3:40 Ballet/Hip Hop (Zoom) $162+$30 with three year olds registration fee
Saturday 9:15-10:05 Ballet & Tap (In Person) $216+$30 registration fee
Saturday 9:15-10:05 Ballet & Tap (Zoom) $162+$30 registration fee
If this is your first year at Michele's Dance Studio, please list any prior dance experience.
How did you hear about Michele's Dance?
Please read the attached Release of Liability Waiver:
I agree to the Release of Liability Waiver
Please read our Policies and Payment Authorization:
I agree to the Terms and Conditions
A copy of your responses will be emailed to the address you provided.
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